Background to this inspection
Updated
9 August 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 2 inspectors. 1 inspector visited the location’s office, and 1 inspector undertook telephone calls of people and relatives using the service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure the registered manager was available to speak to us on the day of inspection.
Inspection activity started on 22 June 2023 and ended on 3 July 2023. We visited the location’s office on 23 June 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We sought feedback from the local authority. We used this information to plan our inspection.
During the inspection
We spoke with 6 people and 3 relatives about their experience of the care provided. We received feedback from 7 members of staff including the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We received written responses from 1 health and social care professional. We reviewed a range of records. This included 7 people's care and support records and 7 people's medicine administration records. We looked at 3 staff files in relation to recruitment and training. We also reviewed a variety of records relating to the management of the service, including policies and procedures, staffing rotas, accident and incident records, safeguarding records, and quality assurance reports.
Updated
9 August 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
About the service
Shauna Health Care Service Solutions Limited is a domiciliary care agency providing personal care and support to people living in their own homes. Not everyone who used the service received personal care. At the time of this inspection 62 people were receiving the regulated activity of personal care from the service. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support:
People received care and support in their own homes, there were appropriate risk assessments in place to support them and maintain their environment.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported by appropriate numbers of staff who provided person-centred care and support. Staff communicated with people in ways that met their needs, people told us staff were kind. Staff supported people with daily living tasks in a way that promoted their independence and achieved the best possible outcomes.
Right Care:
Staff understood how to protect people from poor care. Staff had training on how to recognise and report abuse and they knew how to raise concerns.
The care plans for people using the service reflected the principles and values of ‘Registering the Right Support’ by promoting choice and control, independence, and inclusion. Care plans and risk assessments were detailed and person-centred ensuring people were supported to live full, active lives and encourage them to be as independent as possible.
Right Culture:
Staff told us they were proud to work at Shauna Health Care Service Solutions Ltd. The service was well led with a focus on the recruitment, training, and development of staff. This ensured that people received a safe, caring, and responsive service. Staff had confidence in the leadership of the service and felt the service was well led. Staff demonstrated good understanding around providing people with person centred care and spoke knowledgably about how people preferred their care and support to be given.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 28 April 2021).
Why we inspected
We received concerns in relation to whether people’s individual risks were assessed. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same based on the findings of this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.